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1 месяц назад

Claims Analyst II

Формат работы
onsite
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
Mexico
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Claims Analyst II (Auto Insurance): Investigating, evaluating, negotiating, and settling complex auto insurance claims through documentation review, policy interpretation, reserve setting, and liability assessment with an accent on accurate, timely, and customer-focused claim resolution. Focus on managing claim costs, identifying fraud and subrogation opportunities, coordinating vendors and litigation, and maintaining accurate claim files.

Location: Mexico City, Mexico

Company

hirify.global is a global insurance organization providing commercial and personal property casualty insurance products and services across approximately 70 countries and jurisdictions.

What you will do

  • Investigate, evaluate, negotiate, and settle complex auto insurance claims using documentation, policy provisions, and other records.
  • Determine claim acceptance or denial and provide accurate coverage, quantum, and legal liability assessments within authority limits.
  • Manage an average monthly workload of 45 new claims and 135 outstanding claims according to the staffing model.
  • Set appropriate reserves, maintain accurate claim data, identify fraud and subrogation opportunities, and make referrals when required.
  • Coordinate with claimants, employers, medical providers, auto repair centers, vendors, legal partners, team managers, and senior adjusters.
  • Meet service-level agreements, resolve outstanding issues, support quality reviews, and contribute to best practices for complex auto claims.

Requirements

  • Experience adjusting lower-complexity claims.
  • Ability to prioritize and multitask effectively in a fast-paced environment.
  • Clear and concise verbal and written communication skills.
  • Computer proficiency, desk management, phone etiquette, and time management skills.
  • Basic knowledge of legal, regulatory, litigation, and procedural requirements for the relevant line of business.
  • Adjuster licensing or a related license may be required depending on local jurisdictional requirements.

Culture & Benefits

  • Full-time employment with a global insurance organization.
  • Continuous learning and professional development opportunities.
  • Flexible work arrangements, diversity and inclusion learning, cultural awareness activities, and Employee Resource Groups.
  • Volunteer Time Off and Matching Grants Programs supporting community involvement.
  • No travel is expected for this position.

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